Organization Active NPI

Liu Dental Corp

  • Preferred Provider Organization
  • San Diego, CA
National Provider Identifier
1942543079
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
41461 Issued in CA
Legal business name
LIU DENTAL CORP
Practice address
5527 Clairemont Mesa Blvd
San Diego, CA 92117-2342
Phone
(858) 467-0503
Fax
(858) 467-9103
NPI assigned
Mar 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Molly S. Liu, D.D.S.
Title
Owner
Phone
(858) 467-0503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 41461 CA Primary

Addresses

Primary practice location

5527 Clairemont Mesa Blvd
San Diego, CA 92117-2342

Mailing address

5527 Clairemont Mesa Blvd
San Diego, CA 92117-2342
Phone (858) 467-0503

National Provider Directory

National Provider Directory
Tax ID family
LC Family Dental Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5527 Clairemont Mesa Blvd
San Diego, CA 92117
Phone (858) 467-0503

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1942543079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5527 CLAIREMONT MESA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921172342",
            "telephone_number": "858-467-0503",
            "fax_number": "858-467-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5527 CLAIREMONT MESA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921172342",
            "telephone_number": "858-467-0503",
            "fax_number": "858-467-9103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIU DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-467-0503",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "41461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.